Homestead_Curry H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd. Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
David A. Curry Leah K. Curry
Address(number and street) Address(number and street)
/36 7 (-4--' i e ' ' /3 4,-7 GV 70P 0 -5
City,state,and ZIP ode City,state,and ZIP Code
- 1-c-soll—t / /4} C74'7.6 39 -'71 --,i-e-ca it /A/ V-76 3`‘. "
Country Country
US US
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sig re of Seller Signature of
V4S,Org7‹- fri t'''
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
David A. Curry ,...„...------- 12/17/2021 Leah K. Curry 12/17/2021
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-I i, .:-I-IFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Max A. Curry Katherine A. Curry
Address(number and street) Address(number and street)
3026 Longiron Drive 3026 Longiron Drive
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47725 Evansville, IN 47725
Country Country
US US
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
ED pi 1.Will this property be the buyer's primary F-ii ri 3. Homestead
residence? I I [7]
4.Solar Energy Heatingor ling System
2. Does the buyer have a homestead to be vacated El Eli
2.... , ,
1-.—I for this residence?If yes, provide address: co
5.Wind Power Device rn
o
pi Ei 6.Hydroelectric PowerD e /1.1111
1=:, ).......,4
0 m
Address(number and street) ri F.71 7.Geothermal Energy He g or CS-aling Cre4
'7C)Z-6 1--cqk( 4.4-o'N tS)1 r .
.......
City,state,and ZIP ode.5 i j/644.14.4oun,ly .2_6_y'S_66....30 0_000 1.43,.....,
Lt-11 z,c ..1...L.,
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is W4correccd co
as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falittes the value of